The upcoming months will be

even more exciting. Finalizing

contracts, visas, licenses, and

TM&E paperwork. As we prepare

to bid farewell to an excellent

crop of graduates in June, we feel

mixed emotions of pride, joy, and

sadness,

The next few months will feature

several GME activities:

Graduation

Residents and fellows scholar-

ship day

Orientation

Forming the Curriculum Com-

petency Committees (CCC)

We look forward to new begin-

nings and exciting times in Medical

Education as the Spring Season

Blooms!!!

Rani S Gereige, MD, MPH

This spring issue of the

“Milestones in Medical Educa-

tion” Newsletter is blooming

with continued successes and

“milestones” achieved by resi-

dents, fellows, and faculty. This

time of the year is an exciting

busy time… As we prepare to

welcome new classes of residents

and fellows, we wind down the

academic year hoping to get our

graduates ready, as ready as they

can be, to better and greener

pastures. This spring issue is

“buzzing” with new beginnings,

green milestones, and the follow-

ing great achievements: :

The 2013 Match day concludes

a successful recruitment sea-

son with program filled with

excellent candidates

The MCH GME office pre-

pares faculty for the ACGME

Next Accreditation System

(NAS) with a new way to

think about residents and

fellows’ assessments (see

Faculty Development section)

The Cardiology fellowship

program received “Continued

Accreditation” from the AC-

GME

Trainees continue to show-

case their scholarly work on

the national platform

Faculty continue to represent

MCH through scholarship and

publications

Residents learn about Advo-

cacy at the highest level

More to Come…

Spring blooms are un-

derway, healthy and

green

From the Editor

Medical Education’s Spring Blooms, Bright & Green...

Milestones in Faculty Development

Faculty Roles in NAS - New Ways to Think about Assessments and Evaluations

The ACGME Next Accredita-

tion System (NAS) represents a

paradigm shift in the way resi-

dents and fellows are assessed.

As we moved from the Out-

comes Projects, where the six

ACGME competencies are the

building blocks, the NAS is

more granular assessment of

Milestones within the compe-

tencies. Milestones are discreet,

specific, specialty-related, and

observable behaviors specified

by each Residency Review Com-

mittee. This Milestones Project

takes residents and fellows eval-

uations and feedback to the

next level. All training programs

must adopt the Milestones by

July 2014. Core Programs such

as Pediatrics must have the

milestones in place by July 2013. A new benchmark for compe-

tence based on milestones re-

quires a new metric by which to

judge/ evaluate learners. The

MCH Medical Education Depart-

ment will implement the 5 Drey-

fus Model of Skill Acquisition as

the levels of milestones achieve-

ment for al training programs and

their milestones. So what is the

Dreyfus Model of Skill Acquisi-

tion?

Cont’ed

May 2013 Volume 3, Issue 3

MilestonesMilestones

Inside this issue:

Milestones in Fac-

ulty Development

1

Milestones in

Child Advocacy

2

Milestones Re-

cruitment

4

Milestone Events 5

Milestones in Pub- 6

Milestones in Pro-

fessionalism

6

Milestones in Ad-

vocacy and Volun-

7

Milestones in Na-

tional Spotlight

7

Milestones in Com-

munity-Based Pro-

jects

8

Milestones in Schol-

arly Activities

9

150 The Dreyfus Model of skill

acquisition has FIVE stages:

1– Novice: Follows the rules.

Doesn’t feel responsible for

other than following the rules.

Specific rules for specific cir-

cumstances, no modifiers, con-

text free 2– Advanced Beginner:

Rules begin to be applied to

related conditions, decisions

made by rule application, but

still does not experience per-

sonal responsibility 3– Competent: Responsibility

arises from active decision-

making. Learns to organize

principles or perspectives .

Competence follows the pro-

gression through the Miller

Triangle (see image): Knows…

Knows How… Shows How …

Does.

4– Proficient: Approach to

problem is molded by perspec-

tive arising from experiences.

Learner uses intuition and

“pattern recognition”. Con-

scious decision-making. 5– Expert: Pattern recogni-

tion extends well to planning

and diagnosis. Decision and

teaching comes naturally

A 6th stage of Master is add-

ed but rarely mastery is

achieved at the level of train-

ees.

Beginning the new academic

year, all residents and fellows

evaluations will be based on the

Dreyfus Model as the metric to

be followed using the 5 levels

(stages) described above.

Ref. Dreyfus HL, Dreyfus SE. Mind

Over Machine. New York, NY: Free

Press, 1988

Milestones in Faculty Development

Faculty Roles in NAS - New Ways to Think about Assessments and

Evaluations (Cont’ed)

“The Pediatric

Cardiology

Fellowship

Program

Receives

“Continued

Accreditation”

from ACGME -

CONGRATULA

TIONS!!!

Page 2 Milestones

Milestones in Child Advocacy Effort

MCH Residents Part of AAP Efforts on Capitol Hill to Protect Children from

Gun Violence

MCH Pediatric Residents Chad

Rudnick, MD (PL2) and Stephanie

Urban, DO (PL2) attended the

AAP 22nd Legislative Confer-

ence in Washington, DC (April

28-30th). They were among150

pediatricians from 40 states who

went to Capitol Hill in Washing-

ton, DC with one message for

Congress: find a way forward to

protect children from gun vio-

lence. As Part of the conference,

Chad and Stephanie met with

legislators and advocated for

measure to protect children from

gun violence by advocating for gun

safety. Great job!! Advocacy for

children is an integral part of a

Pediatrician’s job. Children do not

vote but have the Pediatricians as

their voice.

Drs Urban and Rudnick with the AAP President Elect Dr.

James Perrin

Page 3 Volume 3, Issue 3

March 15 2013 marks the date

of the Match results for the

Pediatric Residency Program.

The Department of Medical

Education is pleased to an-

nounce the excellent results of

the match.

Twenty eight PL1 residents

and 16 Fellows will join MCH

Department of Medical Educa-

tion to start the 2013 academic

year. We are all excited about

the upcoming year. Welcome

to our new family members:

Milestones in Recruitment

MCH New Residents and Fellows to begin July 2013

Welcoming the Class of 2016 - Pediatric Residency Program

Name Medical School

1. Ali Ahmad, DO Arizona COM of Midwestern University, AZ*

2. Hanadys Ale, MD Florida International University, FL

3. Courtney Allen, DO Nova Southeastern University COM, FL*

4. Hind Alsharhan, MD Kuwait University, Kuwait

5. Jennifer Berkovich, DO Nova Southeastern University COM, FL*

6. Krysten Chin, MD Stony Brook University Medical Center, NY

7. Wilfredo Cosme-Blanco, MD Ponce School of Medicine, PR

8. Alejandro De La Torre, MD Universidad Internacional del Ecuador, Ecuador

9. Christie De La Vega, MD Ponce School of Medicine, PR

10. Lina Diaz Calderon, MD Pontificia Universidad Javeriana, Colombia

11. Cristina Figallo, MD Universidad Central de Venezuela-Luis Razetti, Venezuela

12. Dominick Figueroa, MD University of Maryland School of Medicine, MD

13. Ajay Gupta, MD Albany Medical College, NY

14. Adriana Herrera, MD Universidad De Los Andes, Colombia

15. Joshua Kurtz, MD University at Buffalo State University of New York, NY

16. Mariana Lanata Piazzon, MD Universidad Peruana Cayetano Heredia, Peru

17. Juan Mejia, MD Universidad Libre de Cali, Colombia

18. Raquel Olavarrieta, MD Florida State University, FL

19. Carla Perez, MD Loma Linda University School of Medicine, CA

20. Scott Raskin, DO Western University of the Health Sciences, CA*

21. Brianna Ruiz, MD University of Miami, FL

22. Diego Salinas, MD University of Florida, FL

23. Katherine Semidey, MD University of Florida, FL

24. Kyle Solari, MD Florida State University, FL

25. Barbara Switzer, MD Florida State University, FL

26. Ronald Vasquez, MD Boston University, MA

27. Ivana Vukovic, MD St. George’s University, Grenada

28. Claudia Zapata, MD Florida State University, FL

* AOA Match

Page 4 Milestones

MCH Epilepsy

Center Re-

ceives Level 4

Designation in

2013

MCH Compre-

hensive Epilepsy

Center was giv-

en a Level 4 Ac-

creditation by

the NAEC

(National Asso-

ciation of Epilep-

sy Centers)

Level 4 Centers

are listed on the

NAEC website

(www.naec-

epilepsy.org) and

the Level 4 Cen-

ters are sent to

US News and

World Report

Congratula-

tions!!!!

Pediatric Cardiology:

1. Natasha Noel, MD

2. Nguyen Taun, MD

Pediatric Cardiac Intensive

Care:

1. Jun Sasaki, MD

Pediatric Critical Care:

1. Jose Francisco Hernandez

Rivera, MD

2. Sushil Devarashetty, MD

Clinical Neurophysiology:

1. Evan Lewis, MD

2. Chalongchai

Phitsanuwong, MD

Craniofacial Plastic Sur-

gery:

1. Thomas Satterwhite, MD

Pediatric Emergency Medi-

cine:

1. Paul Khalil, MD

2. Jahzel Gonzalez, MD

Pediatric Radiology:

1. Robert Dizor, MD

2. Naomi Silva,, MD

3. Mona Yasrebi, MD

Pediatric Neurosurgery:

1. Alexander Weil, MD

Pediatric Surgery:

1. Tara Loux, MD

Pediatric Urology:

1. Anastassia Abatzoglou, MD

Milestones in Recruitment

Welcoming the New Fellows - Starting July 2013

Upcoming Milestone Events

Graduation, Scholarship Day, Faculty Development….

Residents & Fellows’

Research Day Event Re-

named…. This year marks the 5th Annual

Residents and fellows’ Research

Day. This event has been re-

named Residents & Fellows’

Scholarship Day. This name

was given to reflect the types of

scholarly activities that will be

featured. Pediatric and Dental

Residents and Fellows will show-

case their scholarly activities

completed in the 2012-2013 aca-

demic year including Original

Research, Case Reports, and QI

Projects (added this year). The

event will feature live podium

presentations of winning abstracts

as well as poster sessions. Join us

on Friday JUNE 21st, 2013 for

the 5th Annual Residents and

Fellows’ Scholarship Day:

8:15-9:15am - Podium

Presentations (MCH Main

Auditorium) 12:00pm-1:30pm - Poster

Session (Research Building

Atrium)

Join Medical Education and

The Research Institute to

Support our Young Investiga-

tors and their mentors

Do You Understand

The New Generation

of Learners???... Plan

to attend the May

24th Faculty Develop-

ment Session The MCH De-

partment of Med-

ical Education is

pleased to host

Dr. John B.

Molidor, PhD,

CEO and CEO and Presi-

dent MSUFAME (Flint Area

Medical Education) Assistant

Dean and Professor Michigan

State University College of

Human Medicine. Dr. Molidor

is the author of the

book “Crazy Good

Interviewing”.

Dr. Molidor will

present Grand Round on May

24th at 8:15am and will pro-

vide a faculty development

session on teaching and inter-

viewing the new generation of

learners at noon for the faculty.

Please Mark you calendars for

Crazy Good Sessions

MCH 2013 Gradua-

tion Keynote Speaker

- Focus on Health

Care Delivery and

Quality Research

Jonathan A

Finkelstein, MD,

MPH.

With the new emphasis on

Quality and Outcomes nation-

ally in GME and Practice, it was

more than appropriate to have

Dr. Jonathan Finkelstein give

the 2013 Keynote Address. Dr.

Finkelstein is the Vice Chair

for Quality and Outcomes,

Dept. of Medicine, Children’s

Hospital Boston; Associate

Professor of Pediatrics and of

Population Medicine, Harvard

Medical School; Co-Director of

the Program. He also directs

Clinical Epidemiology and Popula-

tion Health, a required course

for Harvard Medical School

students. In addition, he prac-

tices as a general pediatrician at

Children's Hospital. He com-

bines the skills of the clinician,

researcher, educator, and

Quality Improvement Officer.

Page 5 Volume 3, Issue 3

The Class

of 2013 Res-

idents and

Fellows

Graduation

Friday June

7th, 2013 Biltmore

Hotel, Cor-

al Gables,

Florida

Pediatric Critical Care

The manuscript titled: “Acute

Kidney Injury During Van-

comycin Therapy in Criti-

cally Ill Children” by Drs

Balagangadhar Totapally,

Jacqueline Machado, Helen

Lee, Ana Paredes, and An-

dre Raszynski was published

in Pharmacotherapy journal in

March 2013.

Congratulations for a great

collaboration between Pharma-

cy, Critical Care, and Nephrol-

ogy.

Resident as Lead Au-

thor Dr. Varun Aggarwal (PL1)

had two publications as lead

author:

1. “Role of Calcium Defi-

ciency in Development

of Nutritional Rickets

in Indian Children: A

Case-Control Study” -

Published in J. Clin Endo-

crinol Metab. October

2012

2. “Management of Nu-

tritional Rickets in In-

dian Children: A Ran-

domized Controlled

Trial” - Published in the

Journal of Tropical Pediatrics.

April 2013.

Congratulations Varun for a great

achievement!!!!

Dr. Andrew Huang (PLIII) was

the lead author on a publication

titled: “Vertebral Osteomyeli-

tis Due to Candida parapsilo-

sis in a Child with Crohn Dis-

ease While Receiving Anti-

TNF Therapy” published in

Journal of Pediatric Gastroenterology

and Nutrition. April 2013; 56(4):

e23-e26.

Congratulations Andy for a great

achievement!!!!

Milestones in Publications

Hot of the Press!!!!

Congratulations

to Dr. Jason

Katz, MD

(Pediatric

Cardiology

Fellowship

Director for

being accepted

to the APPD

LEAD

(Leadership in

Educational

Academic

Development)

Program

APPD LEAD is a

national Faculty

development

program

Page 6 Milestones

Jeffrey Kleinberg,

MD (PL2)

Kaitlin Ko-

baitri, DO

(PL1)

Fiorella Iglesias,

MD (PL1)

Teaching Compliment to

Dr. Zimmerman

Elise Zimmer-

man, MD (ER

Fellow)

Dr. Zimmerman received a

compliment from Dr. Biehler

for her delivery of an excellent

noon lecture on Drowning. Dr.

Zimmerman was complimented

Residents Receive Kudos

from FIU Medical Student

The Department of Medical

Education received an email

from recent FIU Graduate Dr.

Daniel Castellanos (Class

2013) complementing the

following residents for their

teaching skills, compassion, and

commitment to patient care and education during his PCC

rotation:

Manuel Ro-

driguez, MD

(PL3)

Nivedita Patni,

MD (PL3)

Beatriz Orte-

ga, MD (PL2)

Milestones in Professionalism for a “focused, organized, and

well-researched lecture”

Family Compliment

Lina Castillo, MD

(PL1)

Dr. Lina Castillo received a

compliment from the mother of

one of her patients. The moth-

er commented on Dr. Castillo’s

empathy and professional bed-

side manners.

Division Compliment

Varun Aggarwal,

MD (PLI)

Dr. Varun Ag-

garwal was complimented by

Ms Cindy Mayes, Administrative

Director of the Cardiology

Division for his volunteer spirit

as he participated in the Com-

munity EKG Screening Events

Congratulations Lina & Varun

on an excellent display of the

MCHWay

Five MCH Pediatric Residents

participated on April 25th,

2013 in a forum for MCH vol-

unteers held as part of National

Volunteer Week. The forum

was intended to inspire, and

motivate volunteers interested

in pursuing a medical career.

Kudos to the following resi-

dents for their volunteer and

advocacy efforts:

Stefania Saint-Hilaire,

MD (former volunteer,

leader and recruiter of

other residents)

Chad Rudnick, MD

Kelly Brisbane, MD

Naiomi, Cohen, MD

Laura D’Addese, MD

The residents’ efforts were

very much appreciated by our

volunteers. One volunteer;

Melissa Malloff, 3 East volun-

teer; said:

“ I wanted to tell you that the

Residents Forum was really useful

for a lot of people. Since it was

mostly about getting into med

school, I kept thinking - why was-

n't I sitting right here YEARS

ago!!! But, I know that for the

people still at that stage they

received EXTREMELY vital infor-

mation that they probably won’t

get otherwise. I think it was really

inspiring for them, and could

honestly change their future- or at

least smooth out the crazy path

of getting there. Good work!!” All

my best, Melissa Malloff Vol #

30044.

Thank you all for your efforts!!!

Each “team” consists of 1 pedi-

atric residency program direc-

tor and 4 residents for a total

of 5 participants per team.

MCH Pediatric Residency

Program will be competing

against The Orlando and the

USF Residency Programs… See

you there

MCH Pediatric Residency

Competes at NCE in the

Pediatric Bowl

Will you be attending the NCE

2013 in Orlando? Come cheer

the MCH Pediatric Residents as

they compete in the Pediatric

Bowl on Tuesday October

29th, 2013 at noon. Three

teams of area residency pro-

grams are invited annually to

participate in the “Pediatric

Bowl” (a one hour jeopardy-style live quiz show)

during the final day AAP NCE.

Dr. Lorena Siqueira Invited

to Speak at 2013 NCE

Dr. Siqueira will be present-

ing at the AAP NCE in Orlando

on 10/26/13 4pm-4:45pm on

the topic of Binge Drinking:

Old Problem, New Twist as

part of the Selected Short Sub-

jects. Congratulations Dr. Si-

queira.

Milestones in Advocacy and Volunteer Work

MCH Pediatric Residents Take Part in National Volunteer Week Forum

Milestones in National Spotlight

MCH Faculty and Trainees in the Spotlight at AAP 2013 NCE in Orlando

Volume 3, Issue 3 Milestones

Milestones in So-

cial Networking

Cardiac

knowledge Pro-

ject The Pediatric Cardi-

ology Fellows Use Social Media to en-

hance Education.

Check out the Cardi-

ac Knowledge Pro-

ject at:

Facebook: https://

www.facebook.com/

cardiacknowledge-

project Instagram:

knowledgeproject Twit-

ter:@cardiacknowpr

o

“Healthy Chicas” is a pilot

program at Miami Children's

Hospital founded by Dr. Rosa

Gomez de Jesus

(Adolescent Medicine Fel-

low).

Rosa Gomez

de Jesus, MD

(Adolescent

Medicine Fel-

low)

The program is aimed to offer

an alternative to maintaining a

healthy weight. The training

program includes exotic danc-

ing by combining different

foods and educated to under-

stand food labels.

The Healthy Chicas program

targets adolescents 13 to 18

years and manages an interdis-

ciplinary team that serves from

the standpoint of medical, psy-

chological, nutritional and exer-

cise.

The girls participate in a series

of activities including belly

dancing lessons and salsa, a

mini boot camp, military train-

ing type exercises, and pedom-

eter challenge, a competition to

see who was the most steps.

The pilot program will be pi-

loted in the summer for next

year, when it will again offer

this opportunity to young

women and their mothers, as

one of its objectives is an inter-

action with parents who are

not only those that provide the

type of food consumed by

teenagers but they follow the

example in customs and life-

style. To read more about Healthy Chicas go to the

Miami Herald story at:

http://

www.elnuevoherald.com/2012/

08/22/1282572/programa-

piloto-del-miami-childrens.html

Congratulations!!!!

Milestones in Community-Based Projects

MCH Adolescent Medicine Fellow Pilots a Teen Obesity Program for Latinas

Page 8 Milestones

Strong Presence at

ASPHO Meeting

MCH was well represented by

its trainees at the 2013 ASPHO

meeting held in Miami April.

The following residents had

poster presentations:

1. Prisilla Badia, MD pre-sented her research post-

er titled: “DRAMATIC

RESPONSES TO BREN-

TUXIMAB VEDOTIN IN

THE TREATMENT OF

RECURRENT HODG-

KIN’S LYMPHOMA: BET-

TER THAN CHEMO-

THERAPY?”

2. Branko Cuglievan, MD

& Jorge Galvez, MD

presented their research

poster titled: EPSTEIN

BARR INFECTION OB-

SCURING PEDIATRIC

CHRONIC EOSINO-

PHILIC LEUKEMIA ASSO-

CIATED T(1,5) WITH

EXCELLENT RESPONSE

TO TARGETED THERA-

PY”

3. Will Geng, MD present-

ed his research poster

titled: “NOVEL USE OF

RAPAMYCIN FOR

TREATMENT OF

CHRONIC REFRACTO-

RY IMMUNE THROMBO-

CYTOPENIC PURPU-

RA; A CASE REPORT”

4. Fiorela Hernandez,

MD presented her re-

search poster titled:

“SIRTUINS AS THERA-

PEUTIC TARGETS FOR

NEUROBLASTOMA “

5. April Morrison, DO &

Brank Cuglievan, MD

presented their research

poster titled: “INTRACRANIAL CAL-

CIFICATION IN PEDIAT-

RIC BRAIN TUMOR PA-

TIENTS AFTER PROTON

BEAM THERAPY “

6. Angela Shaw, MD pre-

sented her research post-

er titled: “USE OF PAMI-

DRONATE FOR THE

TREATMENT OF STER-

OIDS INDUCED AVAS-

CULAR NERCROSIS IN PEDIATRIC LEUKEMIA

PATIENTS “

7. Gauri Sunkersett, DO

presented her research

poster titled:

“FAVORABLE RESPONS-

ES TO BIWEEKLY

BEVACIZUMAB AND

IRNOTECAN IN PEDIAT-

RIC PATIENTS WITH

HIGH GRADE GLIOMAS

AND OTHER RECUR-

RENT TUMORS”

Congratulations to all the pre-

senters and big thanks to the

Hem-Onc division members for

their guidance and mentorship.

Presenting residents , former

MCH graduates, and faculty

celebrated the successes at

Bin18 on Biscayne.

PAS Meeting - Wash-

ington, DC

Dr. Daniel Canal Presented a

poster presentation at the

2013 Pediatric Academic Socie-

ties Meeting in Washington,

DC

Plastic and recon-

structive Surgery

Meeting

Dr. Thaddeus Boucree II,

DDS, MD (Craniofacial

Plastic Surgery Fellow)’s

research project titled:

“Reconstruction of the Upper

Lip with the Abbe Flap-A 38

Year Retrospective Analysis” is

accepted for a poster presenta-

tion at the Annual Meeting of the Southeastern Society of

Plastic and Reconstructive Sur-

geons held June 1-5, 2013 at

Bonita Spring, Florida

Congratulations!!!

Milestones in Scholarly Activities

MCH Trainees Showcase their Research Locally and Nationally

Page 9 Volume 1, Issue 1

Miami Children’s Hospital

Department of Medical Education

3100 SW 62nd Avenue Miami, FL 33155

Phone: 305-669-5873 Fax: 305-662-6531

E-mail: CME4MCH@MCH.com

We’re on the Web!

http://www.MCH.COM/

MEDICALEDUCATION

Milestones in Medical Education is the MCH Medical Education Newsletter

Medical Education Birthdays

To Teach is To Touch a Life Forever

Come Cheer for Us at the Pediatric Bowl…

See you in Orlando October 20, 2013!!!!

June Daniel Davila 5

Megan Carns 8

John Fitzwater 10

Richard Garcia 10

Daniel Duarte 12

Lorena Aliaga 12

Jubin Mathews 15

Yamilet Huerta 18

Chad Rudnick 22

Naiomi Cohen 27

Aleksander Bernshteyn 27

Jun Sasaki 28

May Parthasarathi Chamiraju 9

Lauren Meyerson 13

Marina Bishai 17

Vanessa Pinto 20

Fiorella Iglesias 22

Sophie Remoue 28

Manuel Rodriguez 30